Michalopoulos Argyris, Falagas Matthew E
Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece.
Med Sci Monit. 2006 May;12(5):CS39-43.
An alarming increase of the incidence of community-acquired infections due to methicillin resistant Staphylococcus aureus (MRSA) has been noted in several countries during the recent years.
We present the case of a 64-year-old male who complained of fever, shortness of breath, productive cough, and mild low back pain. The patient was diagnosed to have severe community-acquired pneumonia caused by methicillin resistant Staphylococcus aureus. Due to the severity of his respiratory symptoms and the history of back injury, the mild low back pain did not receive the appropriate attention. It became clear later that the back pain was caused by an extra-pulmonary focus of the MRSA infection.
Staphylococcus aureus has been reported to be the cause of considerably different proportions of patients with community-acquired pneumonia in studies from various parts of the world. Our case emphasizes the occasionally multi-systemic manifestations of community-acquired MRSA infections and the difficulties in their control.
近年来,在多个国家已注意到耐甲氧西林金黄色葡萄球菌(MRSA)引起的社区获得性感染发病率惊人地增加。
我们报告一例64岁男性患者,其主诉发热、呼吸急促、咳痰及轻度下背部疼痛。该患者被诊断为耐甲氧西林金黄色葡萄球菌引起的严重社区获得性肺炎。由于其呼吸道症状严重及有背部损伤史,轻度下背部疼痛未得到适当关注。后来发现背痛是由MRSA感染的肺外病灶引起的。
在来自世界不同地区的研究中,金黄色葡萄球菌已被报道为社区获得性肺炎患者中比例差异相当大的病因。我们的病例强调了社区获得性MRSA感染偶尔出现的多系统表现及其控制方面的困难。